MEDICARE: TEXAS BONE AND JOINT CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	J5282	TX

General Provider Information

NPI Number	:	1215453766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS BONE AND JOINT CENTER

Provider Business Mailing Address
First Line	:	8251 BEDFORD EULESS RD STE 210
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-7247
Country	:	US
Telephone Number	:	817-656-7827
Fax Number	:

Provider Business Practice Location Address
First Line	:	319 OSLER DR STE 160
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-5407
Country	:	US
Telephone Number	:	817-656-7827
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DEEPAK CHAVDA
Credential	:	MD
Telephone Number	:	817-656-7827

Provider Enumeration Date	:	08/16/2017
Last Update Date	:	08/16/2017

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Directions to “TEXAS BONE AND JOINT CENTER ” Practice Location

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